Provider Demographics
NPI:1649486390
Name:MORROW, SUSAN COWHIG (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:COWHIG
Last Name:MORROW
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 E WORTHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5343
Mailing Address - Country:US
Mailing Address - Phone:704-332-5153
Mailing Address - Fax:704-332-8870
Practice Address - Street 1:517 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5109
Practice Address - Country:US
Practice Address - Phone:704-332-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0008211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC000821OtherLCSW LICENSE #
NC50213OtherBLUE CROSS BLUE SHIELD